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Organization
PREFERRED PEDIATRICS OF ROCKLAND, LLC
Active
Organization
PREFERRED PEDIATRICS OF ROCKLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SIROP M.D. (DELEGATED OFFICIAL)
(845) 357-5020
Entity
Organization
Contact information
Practice address
100 ROUTE 59, SUITE 104, SUFFERN, NY 10901-4927
(845) 357-5020
(845) 357-5033
Mailing address
100 ROUTE 59, SUITE 104, SUFFERN, NY 10901-4927
(845) 357-5020
(845) 357-5033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
100063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048210
AETNA HMO GROUP#
NY
01
—
7868161
AETNA PPO GROUP #
NY
Enumeration date
01/25/2007
Last updated
04/20/2008
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